Читать книгу Essential Cases in Head and Neck Oncology - Группа авторов - Страница 82
Key Points
ОглавлениеSCC of the oropharynx is still often associated with tobacco and alcohol use.
Treatment for HPV negative cancer follows the same general principles as treatment for HPV positive cancer. The goal is to achieve cure with the fewest modalities of treatment possible.
Extent of neck dissection is dictated by the size of the tumor and the exact location within the pharynx. For cN0 patients, ipsilateral selective neck dissection is considered adequate.
Surgical treatment alone of HPV negative cancer is limited to those patients with early‐stage primary tumor and no more than one involved lymph node at the time of evaluation and no pathologic features such as lymphovascular invasion and perineural invasion.